| NPI | 1720014186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOBRINA PRICE Revenue Cycle Manager 337-493-5112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: LA EI1843) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2025-03-27 |